2012 – 2017 New York State Comprehensive Cancer

Control Plan

A Strategic Plan for Cancer Prevention and Control in NYS

New York State Cancer Consortium

MissionThe mission of the New York State Cancer Consortium is to reduce the

human and economic burden of cancer in New York State.

VisionPeople concerned about cancer will work collaboratively to

implement the New York State Comprehensive Cancer Control Plan, while respecting and embracing the cultural, demographic and

geographic diversity within New York State.

Working Together, Reducing Cancer, Saving Lives

NEW YORK STATE CANCER CONSORTIUM

Statewide network of individuals and organizations dedicated to addressing the cancer burden in NYS

Officially formed in 2003 from group that convened to write 1st NYS Comprehensive Cancer Control Plan

Currently, over 250 members representing over 100 organizations in 38 NYS counties

NEW YORK STATE COMPREHENSIVE CANCER CONTROL PLAN

1st version covered 2003-2010 Revised over an 18-month

period by the Consortium Six priority areas for action:• Health Promotion and

Cancer Prevention• Early Detection• Treatment• Survivorship• Palliative Care• Health Care Workforce

The burden of cancer in NYS is high

More than 95 New Yorkers die each day from cancer which results in over 35,300 deaths annually

Approximately 103,000 cases of cancer are diagnosed among residents of NYS each year

35,300103,000

Source: NYS Cancer Registry, 2005-2009

Cancer is the leading cause of early death in NYS

Cause of death Total deaths

Average years of potential life lost*

Total years of potential life lost*

Heart disease 44,557 1.69 78,344

All cancers 35,092 3.25 113,126Chronic lower respiratory disease 6,775 1.41 9,415

Stroke 6,120 1.94 11,322

Accidents 4,720 2.40 10,392

Total deaths (all causes) 144,913 4.02 582,498

*Based on deaths that occurred prior to age 65

Source for leading causes of death rank and total deaths: NYS DOH Vital Statistics, 2010 Tables, Table 34aSource for total years of potential life lost: Centers for Disease Control and Prevention, National Center for Injury Prevention and Control. Web-based Injury Statistics Query and Reporting System (WISQARS) 2009 [cited 2012 April 3]. Available from URL: www.cdc.gov/ncipc/wisqars

In 2009, cancer caused nearly a quarter of all deaths in NYS and in the US

Sources: New York State Vital Statistics 2009 Tables, Table 34a - Death from Five Leading Causes of Death by Age and Race / Ethnicity. Centers for Disease Control and Prevention, National Center for Injury Prevention and Control. Web-based Injury Statistics Query and Reporting System (WISQARS), 2009.

At least half of all cancer deaths could be prevented

Tobacco use causes at least 1/3 of cancer deaths

Another 1/3 of cancer deaths can be attributed to obesity, poor nutrition and physical inactivity

Other preventable cancer risk factors include the HPV and HBV viruses, environmental

exposures (ex: radon gas) and UV exposure

Lung cancer is the #1 cancer killer for both men and women in NYS

Smoking is the most common cause of lung

cancer

Lung cancer accounts for over 26% of all cancer

deaths in NYS

26%

Tobacco control efforts have effectively reduced smoking in NYS

Source: NYS BRFSS, 2000-2010

March 1, 2000NYS cigarette

excise tax increased to $1.11/pack July 1, 2010

NYS cigarette excise tax

increased to $4.35/pack

April 3, 2002 NYS cigarette

excise tax increased to $1.50/pack

July 24, 2003 Clean Indoor

Air Act Amended

Obesity rates continue to riseObesity among Adults Age 18 and Over, NYS and US*, 2000-2010

Several major cancers, including colon, breast, endometrial, kidney and esophageal, are associated with overweight and obesity. Adopting a physically active lifestyle, eating a healthy diet and maintaining a healthy weight can help

prevent cancer and improve cancer mortality rates

Source: NYS BRFSS and CDC BRFSS. *US data is the median% from the 50 States, DC, and Territories

Cancer screening saves lives

Screenings for cervical and colorectal cancers

can detect growths before they become

cancerous

Screening tests can help find cancer at early stages when treatment is more

effective

Lack of health insurance is one of the biggest barriers to cancer screening

Mammography within the p...0

10

20

30

40

50

60

70

80

90

100

81.7

63.7

Health care coverageNo health care coverage

Perc

ent

Source: NYS BRFSS, 2010

For individuals diagnosed with cancer, access to high quality treatment is critical

Barriers to treatment include lack of or

inadequate health insurance coverage or limited availability of

specialists or treatment centers, especially in

rural areas of New York

The effects of cancer do not end with the last treatment

1 MillionThe number of cancer survivors continues to rise and there are nearly 1 million survivors

alive today in NYSCancer survivors may face challenges during and after treatment, including those related to their physical and emotional health, as well as those

related to legal and financial matters

Palliative care should be an integral part of cancer treatment and care

Palliative care encompasses support from diagnosis

throughout the course of illness, including pain control and symptom management

With a focus on pain control and symptom management palliative care is a vital

service available to cancer patients to improve quality of life

The healthcare workforce plays an important role in cancer prevention and control efforts

Cancer care involves a broad category of healthcare professionals that includes specialties across the cancer continuum—from prevention and screening/diagnosis, to treatment, survivorship and palliative care

Access to an adequate healthcare workforce is necessary to prevent and control cancer in NYS

The NYS CCC Plan seeks to reduce the cancer burden in NYS by outlining a comprehensive approach to:

Prevent cancer by encouraging healthy behaviors and fostering communities that support and reinforce healthy lifestyles.

Increase early detection of cancer by raising awareness of and access to evidence-based cancer screenings.

Increase access to quality cancer treatment. Improve the integration of palliative care in cancer treatment

and care. Improve the quality of life for cancer survivors. Sustain an adequate health care workforce to meet the need

for all cancer services.